| NPI | 1477936607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 12466851-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687102) |
| 163W00000X Registered Nurse (Licence: CA 95116094) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382609) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95005824) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2022-01-10 |